From Aoba Animal Hospital, Miyazaki, Japan (T.I., A.K.); Nagoya Veterinary Consultation, Nagoya, Japan (K.K.); and Division of Animal Medical Research, Hassen-kai, Miyazaki, Japan (T.I., A.K., H.S.).
J Am Anim Hosp Assoc. 2020 Nov 1;56(6):301. doi: 10.5326/JAAHA-MS-7106.
Several factors are suggested to be involved in the development of nontraumatic inguinal hernias (NTIHs) in dogs, but case series studies focusing on the etiology and treatment outcomes are limited. The aim of this study was to retrospectively evaluate the clinical characteristics and treatment outcomes of NTIHs in dogs. Medical records of 42 dogs with surgically treated NTIHs were reviewed. Forty-one dogs were included in the study, all dogs were small breeds weighing <10 kg, and middle to older age (>5 yr old; 33 cases), female sex (34 cases), and miniature dachshunds (26 cases) predominated. Left-sided occurrence was common (30 left, 9 right, 2 bilateral), and organ protrusion was seen in 22 cases (15 uteri, 9 small intestines, 1 colon). Fourteen of 15 uterine herniations (93%) were located left side. Ovariohysterectomy was performed with herniorrhaphy in 27/30 intact bitches, two of whom also underwent resection and anastomosis of a devitalized portion of the small intestine. Recurrence was seen in only one male dog. These results suggest that NTIHs are more likely to occur in small-breed female dogs, and that age may increase the risk of left-sided uterine protrusion; however, the long-term results after herniorrhaphy with ovariohysterectomy are excellent.
多种因素被认为与犬非创伤性腹股沟疝(NTIH)的发生有关,但专门针对病因和治疗结果的病例系列研究有限。本研究旨在回顾性评估犬 NTIH 的临床特征和治疗结果。对 42 例接受手术治疗的 NTIH 犬的病历进行了回顾性分析。本研究共纳入 41 例犬,所有犬均为体重<10kg 的小型犬,年龄较大(>5 岁;33 例),多为雌性(34 例),以迷你腊肠犬(26 例)为主。左侧疝多见(30 例左侧,9 例右侧,2 例双侧),22 例存在脏器突出(15 例子宫,9 例小肠,1 例结肠)。15 例子宫疝中 14 例(93%)位于左侧。30 例未绝育母犬中有 27 例行绝育和疝修补术,其中 2 例还进行了小肠坏死部分的切除和吻合术。仅 1 例雄性犬复发。这些结果表明,NTIH 更可能发生在小型母犬中,年龄可能增加左侧子宫突出的风险;然而,绝育和疝修补术后的长期结果非常好。